Evaluation Of Using Limb Reconstruction System As A Primary And Definitive Fixation In Management Of Open Fracture Of Long Bone Lower Limb | ||
| Aswan University Medical Journal | ||
| Article 2, Volume 5, Issue 1, March 2025, Pages 9-22 PDF (988.08 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2024.322594.1150 | ||
| Authors | ||
| Hesham Hamed Refae; ahmed khaled farouk* ; Mohamed salman; Ebeed Yasin | ||
| Department of orthopedic surgery, Faculty of Medicine, Aswan University | ||
| Abstract | ||
| Background: Staged management of open fractures is challenging, time-consuming, and burdensome for surgeons and patients. The Limb Reconstruction System is an ideal one-stage surgery for managing open fractures in long bones in the lower limbs to avoid these difficulties. Objective: to assess the efficacy of the Limb Reconstruction System in treating open fractures in long bones of lower limbs regarding fracture stability and union. Method: This is a prospective study on 20 patients with open fractures tibia and femur. The patients were between 8 and 65 years old. All patients were treated with the Limb Reconstruction System. The assessment data included: joints (knee and ankle) range of motion, weight-bearing and fracture union. Result: The mean age in the study was 35.6 years with male predominance (93.3%). The union rate was 85% (17 cases) and the mean union time was 6.9 ± 1.9 months. pin tract infections rate 45% (9 cases), 2 (10%) patients with deep infections, Equinus in 1(5%) patient, infected non-union in 1(5%) patient, delayed union in 1(5%) patient, and mal-union in 1(5%). Regarding modified Anderson and Hutchinson's criteria; good in 11 patients, moderate in 6 patients, and poor in 3 patients. Conclusion: The Limb Reconstruction System is an effective method for the management of open fractures of long bones of the lower limbs, achieving early mobilization with minimal complications. | ||
| Keywords | ||
| open fracture; long bone; Limb Reconstruction System | ||
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